The British Journal of Psychiatry (2006) 189: 428-432. doi: 10.1192/bjp.bp.105.018820
© 2006 The Royal College of Psychiatrists
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Outcome and prognostic factors for adolescent female in-patients with anorexia nervosa: 9- to 14-year follow-up

ANDERS HJERN, MD, PhD

Centre for Epidemiology, National Board of Health and Welfare, Stockholm and Department of Women and Children Health, Uppsala University, Uppsala

LENE LINDBERG, PhD

Department of Public Health Sciences, Karolinska Institute and Stockholm Public Health Centre, Stockholm

FRANK LINDBLAD, MD, PhD

Department of Public Health Sciences, Karolinska Institute and National Institute for Psychosocial Medicine, Stockholm, Sweden

Correspondence: Dr Anders Hjern,Centre for Epidemiology, National Board of Health and Welfare, 106 30 Stockholm, Sweden. Email: anders.hjern{at}socialstyrelsen.se

Declaration of interest None.

Background Earlier studies have indicated poor long-term outcomes for patients with anorexia nervosa.

Aims To study health and social outcomes of adolescent in-patients with anorexia nervosa in relation to prognostic factors.

Method A register study based on based on socio-economic and health data was conducted for a national cohort of female residents in Sweden born between 1968 and 1977, including 748 in-patients with anorexia nervosa.

Results At follow-up 9–14 years after hospital admission, 8.7% of patients with anorexia nervosa had persistent psychiatric health problems demanding hospital care and 21.4% were dependent on society for their main income; the stratified relative risks were 5.8 (95% CI 4.7–7.6) and 2.6 (2.3–3.0) respectively, compared with the general female population. The mortality rate for patients with anorexia nervosa was 1.2% and the stratified risk ratio for maternity was 0.6 (95% CI 0.5–0.7). Long duration of hospital care and psychiatric comorbidity were predictors of persistent psychiatric problems and financial dependency on society.

Conclusions The outcome in this cohort of adolescent in-patients with anorexia nervosa was considerably better than that reported in previous studies.




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